Do Older Drivers Have More Accidents?

According to a recent study of the Insurance Institute for Highway Safety, drivers 70 years or older, who make up about 10% of the population, are less likely to be involved in auto accidents and less likely to be seriously injured or killed. It is anticipated that by 2050, the number of people in this age group will rise to 16 % of the population in the United States (over fifty percent higher than the most recent amount).

Some have opined this is because automobiles are safer than earlier makes and models. While there are increased numbers of baby boomers who are now seniors and, therefore, an increased number of this group driving on the streets and highways, they actually account for much lower rates of accidents and fatalities. Interestingly, the study revealed the greatest decline was in the group of drivers 80 years and older; this group had nearly a 50% larger decline than either middle age drivers or those between the age of 70 and 74.

Also and somewhat unexpected are statistics revealing those of retirement age are driving more than they did in the past, whether commuting to work (even if part time), shopping, vacation or visiting family and friends.  In the age group of 75 years and older, their annual average miles driven increased 50%. Some commentaries believe this portion of the population take better care of themselves, live a much more healthy life and are leading more productive lifestyles than the same age group 15 years ago.

Clearly, senior drivers are more comfortable driving than their predecessors, and they take extra precautions such as driving less during the rush hours during the day, in inclement weather &/or at night. Nonetheless, eye examinations are a must, and there are classes available that test reaction times (perhaps helpful for many drivers). The next time we see an older driver we should be reminded of and think about emulating their wisdom and good habits, and not focus on any negativity that might otherwise come to mind.

Handshake or Fist Bumping – Which Do You Prefer and Why?

Most of us will agree a handshake is the best way to express a connection with another person. It is a way to send a message; whether in addition to a verbal “hi” or “hello” it is most often deemed a sign of thoughtfulness &/or affection. Although many individuals may not like to be touched, a handshake is a gesture with limited and accepted physical contact; and, it is commonly considered to be humanizing as in “I am extending my hand, please do the same.”

In fact, there are different types of handshakes that can even be labeled as such: The Squeeze where the other’s hand is grabbed or squeezed in a very strong handshake. It is directly or indirectly used to evince power or to intimidate. The Sandwich involves putting a friend’s hand between your two hands. It is most often intended to make the other person feel important. Then, there is the Tenacious, a handshake in which the other’s hand is held without moving or releasing it while staring at that individual’s eyes. Clearly, there are different inferences that can be drawn depending upon the corresponding verbal or visual cues. In some cultures, there is the Kiss which is an opportunity to show respect and/or admiration by kissing the hand of another person.

Fist bumping has become a popular alternative in which one lightly taps their fist against the front of the other person’s fist, or bumps one’s fist on top of the other’s fist. Some proponents claim fist bumping is as good or even better than hand shaking and still creates a social connection because of other factors, such as the facial expression, demeanor, how long the bump is and/or the degree of force applied (but clearly not used to hurt the other).

Opponents of the handshake claim more bacteria are transmitted with a handshake than fist bumping. They maintain it exposes over three times the hand surface area as a fist bump, the contact averages almost three times longer and, therefore, a hand shake should be limited. They further note that even after washing our hands, 80% of us will retain some form of disease-causing bacteria. But, proponents of the handshake claim that getting germs helps develop immunity, and aside from the societal and cultural values identified above, hand shaking is actually good for our health.

The major concern to the opponents of hand shaking is the increased numbers of people exposed to infectious disease. There are many medical conditions that carry an extraordinary risk of infection unless antibiotics are used. For example, severe burns are highly susceptible to infection. Many procedures require suppressing the immune system, such as in helping to destroy cancer or to keep viable a transplanted organ; these treatments make individuals vulnerable to infection and, therefore, antibiotics have to be used to reduce the threat. Also, antibiotics are administered as a prophylactic prior to countless types of surgeries and operations, and are used when performing C-sections and prostate biopsies. While treatable for decades, the ability of antibiotics to be useful more recently has diminished and/or become extinguished for some conditions. Without antibiotic drugs, physicians will become unwilling to perform increasing numbers of operations and procedures.

In summary, opponents of the handshake have demonstrated concerns about the germs that are passed by what otherwise would seem an ordinary action. They identify the serious consequences when bacteria are resistant to antibiotics. In addition to the emergence of antibiotic-resistant bacteria is the fact 80% of all antibiotics are used on farm animals.  To varying degrees chickens, cows and pigs in the United States, and fish and shrimp in foreign countries, are given regular doses of antibiotics to protect them from disease, but also to increase their weight and speed their growth.

Because now is a time of concern about drug-resistant bacteria and almost untreatable infections (such as MRSA), the proponents of fist bumping are making a concerted effort to show how it can lead to decreased transmission of bacteria and hence fewer colds and infections. Then, less reliance can be had on antibiotics and in turn a more healthy society. Is fist bumping a better alternative to a handshake?

Is there a secret to longevity?

In today’s UT news, it was reported that a Carlsbad woman will be celebrating her 110th birthday next month. In reading the article, it is heartwarming to learn about “supercentenarians.”

What seems compelling whenever one hears or reads such stories is a pattern that often exists in individuals that have long lives. There is a similar lifestyle that emerges in those that live a long and healthy life. They seem to always keep busy and active; they are energetic and nearly all the time smile and are happy; having plenty of friends and a supportive family are common characteristics as well. While these are strong indicators, scientists continue to research human genetics for anti-aging evidence.

 

A Test To Diagnose Early Stage Dementia?

LiveScience published an article today on significant research conducted by the Brain Institute Center for Smell and Taste of the University of Florida. It was noted that the first area of the brain to degenerate in people who have been diagnosed with Alzheimer’s is the front part of the temporal lobe of our brain. This is the region that forms new memories and processes smells. The researchers believe the ability to perform these two skills are among the first to be affected in cognitive impairment.

This Blog is not intended as a substitute for a thorough and complete evaluation by a primary care physician &/or neurologist who commonly perform a painstaking history and physical examination and, when indicated, appropriate tests in order to arrive at a diagnosis. It is noteworthy that in some cases a physician may first come to a differential diagnosis and begin the task of ruling out one or more possible diseases. In terms of cognition and behavior, a neuropsychologist may perform a battery of tests to help a medical team arrive at a definitive diagnosis while physicians often use an MRI to rule out a stroke or a tumor that can cause changes and/or behavioral problems. Because there are other causes such as mental illness, depression, hypoglycemia (low blood sugar), it is critical that a physician be consulted for medical advice and treatment.  

In the area of Alzheimer’s disease, physicians have declared there are several stages, beginning with no memory impairment (no symptoms of dementia) to severe or late-stage Alzheimer’s disease. A diagnosis of Mild Cognitive Impairment (MCI) might be made when a person takes longer to think of a word and/or to recall someone’s name, forgets things more often, etc.

The researchers at the University started with the premise that people with Alzheimer’s have been found to have a greater degeneration on the left side of their brain.  They devised a very simple test for the smell acuity of patients they believe could aid in the diagnosis of early-stage Alzheimer’s disease.  While the test only helps to confirm such a diagnosis, they hope to eventually be able to predict who will get Alzheimer’s. Essentially, patients were asked to close their eyes and pinch their right nostril while being asked when they smelled a cup of peanut butter that was placed near their other nostril. They found that patients who were later diagnosed with Alzheimer’s, which is linked to the left side of the brain, required the peanut butter to be placed closer to their left than their right nostril before it could be smelled. They concluded this test showed a degree of degeneration in the left hemisphere of the brain and could be a new step in the early diagnosis of Alzheimer’s.

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